MESSENGER POST MEDIA

Help us in celebrating the profession of nursing

and honor those who have so passionately
dedicated their lives to patient care.
An honorary section for the week of May 4, 2014
WHATS INSIDE:
salute to area nurses tributes
trends in nursing: nursings quick growth expected through 2020
transcultural nursing care: helps everyone
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SALUTE to NURSES
Many thanks to our readers who paid tribute to
all of these caring, hardworking, dedicated nurses.
Patricia Corey
Unity Hospital
A wonderful salute to the most special nurse
who is so caring, thoughtful, loving, that will
do anything for anybody, who comes her way.
Pattie has been a nurse for many years, frst
at St. Marys and now at Unity Hospital. Up at
dawn and home when it is possible, she is there,
no matter what time it may be. Our Pattie is an
angel, as anyone could be. The Corey Family

Jenny Pratt
RN at Thompson Hospital
We are very proud of you. Love you...
Grandpa and Grandma

Benicasa Hospice House
We would like to pay a special tribute to
our talented and compassionate nurses at
Benincasa Hospice House in Mendon. Nicki,
Irene, Bobbi, Linda and Chris are the best.

Grand Vie Senior Living Community
Bridget
Bridget is a tremendous inspiration
as a nurse. She is incredibly focused,
dedicated and caring despite balancing
a consistently full agenda. Bridget is a
not only a spectacular nurse, but she is a
teacher and support system for the entire
GrandeVie team. Her objective caring
for our residents- is evident in all that she
has contributed to our community.
Dave
Regardless of what Dave sets out to
accomplish, the task is managed with
pleasure and spirit. Dave is able to reach
his coworkers and residents hearts with
ease and reminds everyone around him to
smile brighter and laugh louder. GrandeVie
is honored to have such a vibrant and
charismatic employee.
Laurel
Laurels sense of humor, laugh and smile
brings happiness to every resident and
staf person she encounters. Laurel cares
deeply for her residents and makes this
evident in her genuine approach and
demeanor. Laurel takes the time to learn
who her residents are and shares with
them a special connection.
Lisa
Lisa ofers compassion, sincerity and
warmth to her residents and peers.With
years of experience working with older
adults, she has developed a comforting
sense of humor and inspiring skill set. Lisas
energy and heart are an asset to GrandeVie
and all of the people she touches.
Michelle
Michelle has proven to be an incredibly
valued member of the GrandeVie
community. She is reliable, consistent
and motivated- three characteristics that
defne a spectacular nurse. Our team is
thankful and appreciative for all of the
care and love that she ofers our residents,
families and staf.
Monica
Monica is a passionate and dedicated
nurse, yet she remains able to fnd
the humor and joy in her immense
responsibility. Monica sets and achieves
goals with poise and strives continuously
to make change. Her laughter is
contagious and her presence is valued.
Renee
Renee faces each day with a smile and
her residents always look forward to her
embrace and caring heart. She treats staf,
residents and families alike with a gentle
attitude and a loving spirit. The GrandeVie
community looks forward to watching her
grow as a nurse and team member.
Shelley
Shelley is a problem solver, a helper, and
a motivated nurse. Shelley, in just several
months, has proved to the staf, families
and residents of GrandeVie that her
standards for care are exceptional. Whether
in an emergency situation or a typical,
day-to-day activity, Shelley ofers a calm
demeanor and provides those around her
a sense of comfort.
Tami
Tami works tirelessly to ensure that the
seniors throughout our area have a safe
and beautiful home that fts his or her
specifc care needs. Tami not only assists
individuals in their transitions from
homes, hospitals, and rehabilitation
centers to the assisted living community,
but she spends countless hours
guaranteeing that the people who care
about the individual have all of their
questions answered and feel comfortable
with their decisions.
Toni
Toni genuinely cares about the safety,
happiness and wellness of every person she
cares for. Despite working in a challenging
environment, she never loses sight of her
purpose caring for the residents. With
a smile, warm touch and light-hearted
attitude, Toni ensures that all of the needs
of those she cares for are met.
Rolanda
Rolonda, the newest member of the
GrandeVie team, has quickly shown our
staf and residents her talent as a nurse.
With excitement and determination,
Rolonda demonstrates her talents and
caring nature each day.
Lynn Defendorf
Joseph C. Wilson Health Center
Yes, I am a mother of a great daughter who from
the day she was born has helped many. She has
been a nurse all her 57 years. She has helped
relatives, friends and neighbors. If they need
her she is always there for them, no matter what
time. She has worked at the Wilson Center for
30 years. Her friends from there are still close to
her.Her telephone rings for her needed advice
any time of the day or night. Yet she still has
time for her husband Mike (they have been married for 35 years, this
past April 28), children Sara and Nick and best dog Kobe. Her father
and I are proud of her. She has a heart of gold. Donna Coddington

Alexandra Coggie Registered Nurse
You have gone and embraced your passion,
making a diference in all of the lives
that you touch. We are so proud of you!
Love, Mom, Pat and Tyler

Ann Randazzo
A tribute in honor of my wife. Anns nursing
career began 50 years ago on June 30,1963.
Her career has been honed by a variety of
nursing experiences. After receiving her
nursing degree with honors, she trained
in local hospital and nursing homes. She
specialized in neurological care, custodial
geriatric patients, head trauma patients,
private duty cases, as well as working as a
school nurse for the Monroe Health Dept.
in Rochester. For the past two years Ann
has had the honor to be part of the nursing
team at the Sunset House, a comfort care home for the dying
located in Irondequoit. Here she most defnitely embodies the
characteristics of an efective nurse: lovingcaringhard
workingdedicated. Philip Randazzo
Kim Fess
To a loving sister and
dedicated and caring
nurse, Kim Fess goes
out of her way to
make a compassionate
connection with her
patients and their
families. She treats her
patients like they are
family and uses her sense
of humor to try and brighten a patients day. Thank you for your
dedication in the nursing feld. Chris Magee
Continued on next page...
Vicki Hinkel
I would like it to say, Congratulations, Vicki Hinkel, for being a nurse for 35
years! Love, Jen and Chris
Mary Meyer
Thank you to Mary Meyer! Happy Nurses Day!
Dr. Teerlinck
Marg Donhauser
I would like to salute
my nurse Marg
Donhauser for nurses
week. She takes good
care of me so that I can stay home. She
decorates the house for every holiday and
makes every holiday a fun place to be!
Her cooking is excellent and she makes
sure that I have everything I need to
make me happy! She takes me out for
rides to places I have never been. Such as
Roseland Waterpark, Ontario and Wayne
County Fairs, fsh hatchery, Lollipop Farm,
fshing on the pier, scenic rides and more. Everything is so interesting!
On April 16 Marg had three kangaroos (Penny, Sydney and Beatrice) visit us for the afternoon.
She invited 25 friends in to share the experience.
On April 5 Marg took the plunge into Canandaigua Lake (32) for the 10th year winning best
costume and for raising the most money by an individualand she does it all for charity.
When Marg is not helping me, you will fnd her somewhere in the house working on a project for
charity or for a non-proft organization (Special Olympics, Happiness House, Blue Star Mothers,
Comfort Care Home and Wood Library.) I get to help her which makes me feel useful.
In January 2013 I came home to die in the comfort of my home and over a year later I am still
living in the comfort of my home because of the wonderful care and love that Marg gives me!
The only photos I have of Marg are fun photos! This photo is the most recent when she was an
octopus for the Canandaigua Lake Plunge! I stufed all eight legs for her! Natalie Ross
MESSENGER POST MEDIA
Celebrates the profession of nursing
and honors those who have so passionately
dedicated their lives to patient care.
We join the American Nurses Association in celebrating National Nurses Week,
which is held May 6-12, every year. The purpose of the week-long celebration is to
raise awareness of the value of nursing and help educate the public about the role
nurses play in meeting the health care needs of the American people.
In honor of the dedication, commitment, and tireless efort of the nearly 3.1 million
nurses nationwide who promote and maintain the health of this nation we are
proud to recognize nurses everywhere during this particular week for the quality
work they provide seven days a week, 365 days a year.
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73 bufalo street canandaigua ny 14424 585.394.0770 www.MPNnow.com
MESSENGER POST MEDIA advertising supplement
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trends in nursing
Nursing Informatics
Nursing informatics is a career that focuses
on fnding ways to improve information
management and communications in
nursing to improve efciency, reduce
costs and enhance the quality of patient
care.Te American Nurses Association
defnes nursing informatics as a specialty
that integrates nursing science, computer
science, and information science to manage
and communicate data, information, and
knowledge in nursing practice. Nursing
informatics facilitates the integration of
data, information and knowledge to support
patients, nurses and other providers in their
decision-making in all roles and settings.
Tis support is accomplished through the
use of information structures, information
processes, and information technology.
(ANA Scope and Standards of Nursing
Informatics Practice, 2001, pg vii.)
Documentation is a primary emphasis in
nursing informatics, because quality care
depends on efective communication among
healthcare providers. Nursing informatics
looks for ways to simplify and enhance
documentation using advanced computer
and information technologies. Nursing
informatics makes it possible to record notes
sooner and faster using computers, handheld
devices, voice recognition and other tools. Te
goal is to design and implement systems that
improve documentation accuracy, eliminate
unnecessary work, enhance accuracy and
enable analysis of clinical data. Nursing
informatics aims to develop systems that
are both efective and user-friendly, making
sure new systems integrate seamlessly with
existing hospital systems and the routine
workfow of the nursing process.
Nurse informaticists work in hospitals, other healthcare facilities, universities, consulting frms,
or corporations that develop and market healthcare information systems. Teir titles include
clinical analyst, informatics nurse specialist, director of clinical informatics, or clinical informatics
coordinator. Few nurse informaticists perform any patient care duties. Most focus on developing,
improving, testing or training nurses to use new systems. Recognizing the potential of nurse
informatics to improve quality care and reduce costs, some hospitals and health systems are creating
staf roles for nurse informaticists.
Nurse Aide/CNA
Wherever there is a need for personal care, certifed Nursing Assistants (CNA), or nurses aides, are
there. Nursing assistants are the caregivers who help patients of all ages perform the most basic day-
to-day tasks. CNAs work under the supervision of a nurse, and since they have extensive daily contact
with each patient, they play a key role in keeping the nurse up-to-date on vital information about the
patients conditions. Nursing assistants work closely with patients and provide assistance with such
tasks as: dressing; bathing; feeding; making beds; toilet assistance/catheter care; taking vital signs
(blood pressure, pulse, etc.); helping patients walk; assisting with range-of-motion exercises; helping
wheelchair-bound patients (entails heavy lifing); turning bedridden patients regularly; reporting
all changes to the nurse; safety awareness; documentation and post mortem care. Due to stafng
shortages in recent years, a vast majority of nursing assistants fnd themselves in the challenging
position of attempting to provide quality care to far too many patients at once. Te turnover rate
for nursing assistants is high, due largely to the jobs
heavy workload and physical demands.
Nurse Practitioners
Nurse Practitioners (NPs) are Advanced Practice
Nurses who provide care to patients from premature
newborns to the elderly. Tey perform comprehensive
and focused physical exams; diagnose and treat
common acute illnesses and injuries; provide
immunizations; manage high blood pressure,
diabetes, depression, chronic health problems; order/
interpret diagnostic tests such as X-Rays, EKGs and
lab tests; prescribe medications/therapies (including
controlled substances), perform procedures; educate
and counsel patients and families regarding healthy
lifestyles and health care options. In addition to
working in clinics, ofce practices, managed care
organizations, and hospitals, NPs deliver care in rural
sites, inner city community health centers, college
campuses, worksite employee health centers, and other
locations. NPs also work for healthcare technology
companies, perform healthcare research, teach in
schools and universities and serve in governmental
agencies. About 15% of all NPs have their own private
practices. Tere are also a number of nurse-managed
health centers across the country that are directed and
provided for by Nurse Practitioners, along with other
health care professionals. As the numbers of primary
care physicians decrease and the demand for health
care services increases, Nurse Practitioners (NPs) are
a highly recruited group of professionals.
Nurse Educators
Nurse educators are registered nurses with advanced
education who are also teachers. Most work as nurses
for a period of time before dedicating their careers
to educating future nurses. Tey serve as faculty
members in nursing schools and teaching hospitals,
sharing their knowledge and skills to prepare the
next generation of nurses for efective practice. Tey
develop lesson plans, teach general or specialized
courses, evaluate educational programs, oversee
students clinical practice, serve as role models for their students, give lectures, advise students,
grade papers, attend faculty meetings, handle administrative work and keep up with current nursing
knowledge.
Most nurse educators have extensive clinical experience, and many continue caring for patients afer
becoming educators. Even if they no longer practice, nurse educators must stay current with new
methods and technologies. Tis means they are always on the leading edge of clinical practice.
With experience, nurse educators may advance to administrative roles, managing nurse education
programs, writing or reviewing textbooks, and developing continuing education programs for
working nurses.
Tis career is in extremely high demand, because the U.S. is experiencing a serious nursing shortage.
One of the key reasons for that shortage is the lack of nurse educators to train future nurses. Te
U.S. Department of Labor reports that one million new and replacement nurses will be needed
by 2016. But, according to the American Association of Colleges of Nursing, more than 40,000
qualifed applicants were turned away from nursing schools last year. Why? Because nursing schools
dont have enough nurse educators to educate all the students who want to become nurses. Many
government agencies, professional groups and non-proft organizations have launched campaigns
to encourage young people to choose a career in nurse education.
Nurse educators typically work in academic settings. Some also work in health care settings as staf
Continued on next page...
NURSINGS QUICK GROWTH EXPECTED THROUGH 2020
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development ofcers or clinical supervisors. Tey may work a nine-month academic calendar, or
all year long. Educators who oversee students in clinical settings may divide their time between a
campus and a nearby hospital. Many faculty members are also actively engaged in research eforts
which add to the scientifc base for nursing practice.
Academic life is demanding and can be flled with unexpected pressures, including multiple,
competing demands on your time. Tere are ofen research and publishing requirements to be met.
Nurse educators are ofen expected to participate in professional organizations, and attend or speak
at conferences. Tey may serve on peer review and other academic committees or be asked to write
grant proposals to bring new funding to the school. Still, most nurse educators are highly satisfed
with their work. Tey fnd interaction with students rewarding, and they take pride in the role they
play in preparing nurses to care for patients.
Nurse Researchers
Nurse researchers are scientists who study various aspects of health, illness, and health care. By
designing and implementing scientifc studies, they look for ways to improve health, healthcare
services and healthcare outcomes. Tey identify research questions, design and conduct scientifc
studies, collect and analyze data, and report their fndings. Tey ofen rely on grants to fund their
work, which requires writing grant proposals and meeting certain reporting requirements. Many
teach in academic or clinical settings, and ofen write articles and research reports for nursing,
medical, and other professional journals and publications.
Nurse researchers may begin their research careers in positions such as research assistant, clinical
data coordinator, and clinical research monitor. Te title of principle investigator refects the most
senior research role and greatest responsibility and accountability associated with a research study.
Studies conducted by these dedicated researchers uncover new and better ways to: deliver healthcare
services more efectively and efciently; improve quality of life for patients sufering from chronic
illnesses; encourage patients to make healthy choices about nutrition, ftness, and lifestyle; assure
patient safety and prevent injury and illness; provide care and comfort to patients at the end of
life; and ofen partner with scientists in other felds, such as pharmacy, nutrition, medicine, and
engineering, to better address complex questions and problems. Te results of nursing research
help build the knowledge base and provide the evidence to guide interventions by nurses and other
health care workers.
Nurse researchers may work in diverse healthcare settings, universities, research organizations,
laboratories, and other settings. Tey may also be hired by private companies and nonproft
organizations focused on healthcare issues. Because research studies are ofen individually funded
projects, nurse researchers may move from project to project, working for a specifc time period until
the grant money ends. Te nurse researcher must then seek other funded studies or employment
opportunities. Te work of conducting research studies, especially collecting and tabulating data,
can involve a lot of repetitive activity and rote data entry. But it can be exciting and rewarding to
contribute to research that discovers a new way to improve health care delivery.
Nurse researchers must be skilled writers, to write competitive grant applications, report study
results, and prepare journal articles. Dissemination of the fndings and research methodology ofen
requires presentations at conferences and meetings.
Occupational Health Nurse
Occupational Health Nurses (OHN) are Registered Nurses who independently observe and assess
workers health status with respect to job tasks and hazards. Using specialized experience and
education, they recognize and prevent health efects from hazardous exposures and treat workers
injuries and illnesses. OHNs work with employers to develop innovative and business-compatible
health and safety programs, in response to each organizations unique type of work, workforce, and
work/community environments. Tey promote an interdisciplinary approach to health care and
advocate for the employees right to prevention-oriented, cost-efective health and safety programs.
Te available roles in this profession are extremely diverse, covering any and all of the wide-ranging
issues related to occupational health and safety. OHNs work as clinicians, educators, case managers,
corporate directors, or consultants. Tey also have a broad array of responsibilities, including:
disease management, environmental health, emergency preparedness/disaster planning, employee
treatment, follow-up and referrals, emergency care for job-related injuries and illnesses, gatekeeper
for healthcare services, rehabilitation, return-to-work issues.
OHNs counsel workers about work-related illness and injuries and emotional and/or family
problems. Tey refer clients to employee assistance programs and/or other community resources,
and handle and coordinate follow-up care. Tey develop health education and disease management
programs that encourage workers to take responsibility for their own health, such as smoking
cessation, exercise/ftness, nutrition and weight control, stress management, control of chronic
illnesses and efective use of medical services. Tey also monitor the health status of workers, worker
populations and community groups by conducting research on the efects of workplace exposures,
gathering health and hazard data.
Organizations have good reason to hire Occupational Health Nurses, because these highly skilled
health professionals help maximize employee productivity and reduce costs by efectively lowering
disability claims, reducing on-the-job injuries and absenteeism, and improving employee health
and safety.
Nurse Midwives
Certifed Nurse-Midwives (CNMs) are Advanced Practice Nurses who provide counseling and care
during preconception, pregnancy, childbirth, and the post-partum period. CNMs and their colleagues
certifed midwives (CMs) also provide family-centered primary healthcare to women throughout
their reproductive lives. Skilled midwifery can reduce the need for high-tech interventions for most
women in labor, but midwives also are trained in the latest scientifc procedures to assist in normal
deliveries. CNM-attended births account for 10% of all spontaneous vaginal births in the US, and
7% of all US births in total. Of these deliveries, 97% occur in hospitals, 1.8% in freestanding birth
centers, and 1% at home.
Many people mistakenly think that midwives do nothing but assist with births. In fact, although
attending births is an integral and rewarding part of the job, this is only a fraction of what midwives
actually do. On average, they spend 10% of their time in the direct care of birthing women and
their newborns. In addition to the care they give patients before, during, and afer pregnancy and
childbirth, they provide routine gynecological services including reproductive health visits,
regular gynecologic care and peri-/post-menopausal care. In fact, 90% of all patient visits are for
primary, preventive care. CNMs/CMs are skilled health professionals who practice in a wide variety
of clinical settings, diagnosing/treating patients as well as referring them to a specialist, if required.
CNMs/CMs are a vital part of the healthcare team and collaborate closely with physicians. When
CNMs/CMs and physicians work together as a team, women receive an optimal combination of
primary and preventive care, with specialized services as needed.
Todays midwives come from all walks of life. Some earned their midwifery degree immediately afer
graduating from college, but others are former teachers, writers, missionaries and general practice
nurses. Tere are many diferent career options for CNMs/CMs clinical practices, education,
administration and research, domestic and global health policy and legislative afairs, practicing in
public, private, university and military hospitals, they also work in HMOs, private practices, birth
centers, public health clinics, and in-home birth services. CNMs/CMs are also active in international
health programs, working worldwide to improve the health of women and children.
Information courtesy of www.explorehealthcareers.org
Nurses most ofen do their jobs by answering
the question, How can I best meet my patients
needs? Te answer lies in layers of protocol
and practice, skills, expertise, and compassion.
Nursing encompasses the collaborative care
of individuals of all ages, families, groups, and
communities, sick or well and in all settings, as
defned by Te International Council of Nurses.
Transcultural nursing is a theory rooted in and
based on meeting the needs of people by inte-
grating their own cultural roots, beliefs, and
practices into their care.
Transcultural nursing is a formal area of aca-
demic study and practice, says Marie Bell, assis-
tant professor, department of nursing, Nazareth
College. Because there is a growing diversity
that characterizes our national and global popu-
lations, we teach students how to be competent
at taking care of these individuals that are difer-
ent than their own culture.
Te model used at Nazareth College includes
culture, care, diversity, and universality. It fo-
cuses on describing, explaining, and predicting
nursing similarities and diferences, and on care
and cultures, such as kinship, life ways, diet, re-
ligion, and beliefs.
As nurses, we all know what to do for a stroke,
but using transcultural nursing we to do it ac-
cording to the patients culture, says Bell. May-
be they have a certain lifestyle, or certain ways
of eating and beliefs, and we try to make some
minor changes or major changes in care based
on their culture. We tap into all the aspects of
their lives and see how we can help them and
accommodate them.
Bell says a transcultural nursing approach or
cultural competence is important for healing
and recovery. Maintaining the patients life-ways
right in the clinical setting can help enhance a
patients well being.
Te Transcultural Nursing Society was estab-
lished over 35 years ago to provide healthcare
professionals with the knowledge to ensure cul-
tural competence in care. Tis formal area of
academic study and evidence-based practice is
used globally within the nursing profession.
It resonates with students throughout their
studies, it causes a heightened awareness, and
it crosses all disciplines in nursing, says Bell.
Nursing is transcending. We have a more
diverse nursing population, diferent ethnic
groups, religions, and male nurses. We are
branching out in this growing feld.
Bell says families of patients are very helpful
when using a cultural approach to nursing, as
healthcare disparity plays a role in care. Tere
are diferences in ethnic groups, economics,
education, access to healthcare, and more, that
contribute to each patients needs. In addition to
disparity, health literacy is important meaning
how much does the patient understand.
Most nursing schools follow a certain protocol,
remaining consistent in teaching the nursing
process, safe care, medication, and other things
related to nursing, according to Bell. But there
are diferent kinds of nursing now, not just at the
bedside, in clinics, hospitals or nursing homes.
Nurses trained in transcultural care can meet
the needs of people all over the world, in many
settings, says Bell. We not only teach it, we
practice it.
transcultural
nursing care
HELPS EVERYONE
BY DEBORAH BLACKWELL | MESSENGER POST MEDIA
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